Environmental Factors Affecting Sleep Quality in Intensive Care Unit Patients in Southern Morocco: An Assessment Study.

IF 1.8 Q3 RESPIRATORY SYSTEM

Advances in respiratory medicine Pub Date : 2025-06-06 DOI:10.3390/arm93030014

Abdelmajid Lkoul, Keltouma Oumbarek, Youssef Bouchriti, Asmaa Jniene, Tarek Dendane

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引用次数: 0

Abstract

Introduction: Sleep disturbances are a common and often underestimated complication during intensive care unit (ICU) stays. These disturbances can significantly impact patients' recovery and overall well-being. This study aimed to assess the sleep quality of ICU patients and investigate the environmental and clinical factors that affect sleep quality during their ICU stay.

Methods: We conducted a six-month cross-sectional study involving patients who had stayed in the ICU for at least three nights and were oriented to time and place upon discharge. Sleep quality was assessed using the Arabic version of the Freedman Sleep Questionnaire. Both environmental factors (e.g., noise, light, and nursing interventions) and clinical variables (illness severity and pain) were examined. The differences across three time periods were analyzed using the Wilcoxon test and Spearman's correlation. Multiple regression analysis identified the factors influencing sleep quality. Statistical analyses were performed using JAMOVI software (version 2.3.28).

Results: The study enrolled 328 patients, with an average age of 49.74 ± 17.89 years. Of the participants, 75.3% were adults. The primary reasons for admission were circulatory distress (45.73%) and metabolic disorders (24.09%). Sleep quality was significantly lower in the ICU compared to patients' sleep at home (Z = -14.870, p < 0.001). The EVA and APACHE II scores had a statistically significant effect on sleep quality (p < 0.001 and p = 0.015, respectively). In contrast, the Charlson and Quick SOFA scores did not show significant effects (p = 0.128 and p = 0.894). Environmental factors, including noise (p = 0.008), light (p = 0.009), and nursing interventions (p = 0.009), significantly impacted sleep quality.

Conclusions: Patients in the ICU generally reported poor sleep quality. Our findings suggest that improving pain management, minimizing environmental noise, and reducing staff-related disturbances could significantly enhance sleep quality for patients in the intensive care unit (ICU).

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影响摩洛哥南部重症监护病房患者睡眠质量的环境因素：一项评估研究

睡眠障碍是重症监护病房（ICU）住院期间常见且常被低估的并发症。这些干扰会严重影响患者的康复和整体健康。本研究旨在评估ICU患者的睡眠质量，探讨影响ICU患者睡眠质量的环境及临床因素。方法：我们进行了一项为期6个月的横断面研究，纳入了在ICU住了至少3晚并在出院时被告知时间和地点的患者。使用阿拉伯语版的弗里德曼睡眠问卷评估睡眠质量。环境因素（如噪音、光线和护理干预）和临床变量（疾病严重程度和疼痛）均被检查。使用Wilcoxon检验和Spearman相关分析了三个时间段的差异。多元回归分析确定了影响睡眠质量的因素。采用JAMOVI软件（版本为2.3.28）进行统计学分析。结果：328例患者入组，平均年龄49.74±17.89岁。在参与者中，75.3%是成年人。入院的主要原因是循环窘迫（45.73%）和代谢紊乱（24.09%）。ICU患者的睡眠质量明显低于在家患者（Z = -14.870, p < 0.001）。EVA和APACHE II评分对睡眠质量的影响有统计学意义（p < 0.001, p = 0.015）。相比之下，Charlson和Quick SOFA评分无显著影响（p = 0.128和p = 0.894）。环境因素包括噪音（p = 0.008）、光照（p = 0.009）和护理干预（p = 0.009）显著影响睡眠质量。结论：ICU患者普遍报告睡眠质量较差。我们的研究结果表明，改善疼痛管理，最大限度地减少环境噪音，减少与工作人员相关的干扰，可以显著提高重症监护病房（ICU）患者的睡眠质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in respiratory medicine RESPIRATORY SYSTEM-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.